Widman L, Golin C E, Kamke K, Massey J, Prinstein M J
Department of Psychology, North Carolina State University, Raleigh, NC 27695, USA.
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA.
Health Educ Res. 2017 Aug 1;32(4):343-352. doi: 10.1093/her/cyx048.
Adolescent girls are at substantial risk of sexually transmitted diseases including HIV. To reduce these risks, we developed Health Education And Relationship Training (HEART), a web-based intervention focused on developing sexual assertiveness skills and enhancing sexual decision-making. This study assessed the feasibility and acceptability of this new program and examined if perceived acceptability varied according to participant ethnicity, sexual orientation or sexual activity status. Participants were part of a randomized controlled trial of 222 10th-grade girls (Mage = 15.26). The current analyses included those in the intervention condition (n = 107; 36% white, 27% black and 29% Hispanic). HEART took approximately 45 min to complete and was feasible to administer in a school-based setting. Participants found the program highly acceptable: 95% liked the program and learned from the program, 88% would recommend the program to a friend and 94% plan to use what they learned in the future. The primary acceptability results did not vary by the ethnicity, sexual orientation or sexual activity status of participants, suggesting broad appeal. Results indicate that this new online program is a promising method to reach and engage adolescents in sexual health education.
青少年女孩面临包括艾滋病毒在内的性传播疾病的重大风险。为降低这些风险，我们开发了健康教育与关系培训（HEART），这是一种基于网络的干预措施，重点在于培养性自信技能和加强性决策能力。本研究评估了这个新项目的可行性和可接受性，并考察了感知到的可接受性是否因参与者的种族、性取向或性活动状况而异。参与者是一项针对222名十年级女孩（平均年龄=15.26岁）的随机对照试验的一部分。当前分析纳入了干预组的参与者（n = 107；36%为白人，27%为黑人，29%为西班牙裔）。HEART大约需要45分钟完成，在学校环境中实施是可行的。参与者认为该项目非常可接受：95%的人喜欢该项目并从项目中学到了东西，88%的人会向朋友推荐该项目，94%的人计划在未来运用所学内容。主要的可接受性结果在参与者的种族、性取向或性活动状况方面没有差异，表明该项目具有广泛的吸引力。结果表明，这个新的在线项目是一种有前景的方式，可以让青少年参与到性健康教育中来。
